What Is Perineoplasty? The Perineum is a small area composed of skin and muscle tissue between the vagina and the anus. The perineum can often become highly stretched or extensively torn or damaged as a result of childbirth. Even after healing, many women in North Carolina (NC) feel a permanent loosening of their vaginal opening after childbirth, which causes a lot of problems like anal incontinence, vaginal looseness, painful intercourse and unsatisfactory sex. A...